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https://www.readbyqxmd.com/read/27905508/tissue-loading-created-during-spinal-manipulation-in-comparison-to-loading-created-by-passive-spinal-movements
#1
Martha Funabashi, Gregory N Kawchuk, Albert H Vette, Peter Goldsmith, Narasimha Prasad
Spinal manipulative therapy (SMT) creates health benefits for some while for others, no benefit or even adverse events. Understanding these differential responses is important to optimize patient care and safety. Toward this, characterizing how loads created by SMT relate to those created by typical motions is fundamental. Using robotic testing, it is now possible to make these comparisons to determine if SMT generates unique loading scenarios. In 12 porcine cadavers, SMT and passive motions were applied to the L3/L4 segment and the resulting kinematics tracked...
December 1, 2016: Scientific Reports
https://www.readbyqxmd.com/read/27888138/the-quality-of-placebos-used-in-randomized-controlled-trials-of-lumbar-and-pelvic-joint-thrust-manipulation-a-systematic-review
#2
REVIEW
Aaron A Puhl, Christine J Reinhart, Jon B Doan, Howard Vernon
BACKGROUND CONTEXT: Spinal manipulative therapy (SMT) has been attributed with substantial non-specific effects. Accurate assessment of the non-specific effects of SMT relies on high-quality studies with low risk of bias that compare to appropriate placebos. PURPOSE: This review aims to characterize the types and qualities of placebo control procedures used in controlled trials of manually-applied, lumbar and pelvic (LP) SMT, and to evaluate the assessment of subject blinding and expectations...
November 22, 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27822362/does-case-misclassification-threaten-the-validity-of-studies-investigating-the-relationship-between-neck-manipulation-and-vertebral-artery-dissection-stroke-yes
#3
Jessica K Paulus, David E Thaler
BACKGROUND: For patients and health care providers who are considering spinal manipulative therapy of the neck, it is crucial to establish if it is a trigger for cervical artery dissection and/or stroke, and if it is, the magnitude of the risk. DISCUSSION: We discuss the biological plausibility of how neck manipulation could cause cervical artery dissection. We also discuss how case misclassification threatens the validity of influential published studies that have investigated the relationship between neck manipulation and dissection...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27799691/the-immediate-effects-of-spinal-thoracic-manipulation-on-respiratory-functions
#4
Doo Chul Shin, Yong Woo Lee
[Purpose] The purpose of this study was to investigate the effects of thoracic spinal manipulation therapy on respiratory function including forced vital capacity and forced expiratory volume in one second in young healthy individuals. [Subjects and Methods] Thirty young healthy subjects recruited from a local university participated in this study. Subjects were randomly allocated into an experimental group (n=15) and a control group (n=15). The experimental group received thoracic spinal manipulation and the control group received placebo thoracic spinal manipulation...
September 2016: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/27713576/neck-pain-in-children-a-retrospective-case-series
#5
Jocelyn Cox, Christine Davidian, Silvano Mior
INTRODUCTION: Spinal pain in the paediatric population is a significant health issue, with an increasing prevalence as they age. Paediatric patients attend for chiropractor care for spinal pain, yet, there is a paucity of quality evidence to guide the practitioner with respect to appropriate care planning. METHODS: A retrospective chart review was used to describe chiropractic management of paediatric neck pain. Two researchers abstracted data from 50 clinical files that met inclusion criteria from a general practice chiropractic office in the Greater Toronto Area, Canada...
September 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27705840/what-do-patients-value-about-spinal-manipulation-and-home-exercise-for-back-related-leg-pain-a-qualitative-study-within-a-controlled-clinical-trial
#6
Michele Maiers, Maria A Hondras, Stacie A Salsbury, Gert Bronfort, Roni Evans
BACKGROUND: Patient perceptions may influence the effectiveness and utilization of healthcare interventions, particularly for complex health conditions such as sciatica or back-related leg pain (BRLP). OBJECTIVES: To explore BRLP patients' perceptions of spinal manipulative therapy (SMT) and home exercise with advice (HEA). DESIGN: Qualitative study in a controlled clinical trial. METHOD: Semi-structured interviews conducted after 12 weeks of treatment asked participants about satisfaction with care and whether treatment was worthwhile...
September 23, 2016: Manual Therapy
https://www.readbyqxmd.com/read/27696633/chiropractic-spinal-manipulative-therapy-for-migraine-a-three-armed-single-blinded-placebo-randomized-controlled-trial
#7
A Chaibi, J Š Benth, P J Tuchin, M B Russell
BACKGROUND AND PURPOSE: To investigate the efficacy of chiropractic spinal manipulative therapy (CSMT) for migraineurs. METHODS: This was a prospective three-armed, single-blinded, placebo, randomized controlled trial (RCT) of 17 months duration including 104 migraineurs with at least one migraine attack per month. The RCT was conducted at Akershus University Hospital, Oslo, Norway. Active treatment consisted of CSMT, whereas placebo was a sham push manoeuvre of the lateral edge of the scapula and/or the gluteal region...
October 2, 2016: European Journal of Neurology: the Official Journal of the European Federation of Neurological Societies
https://www.readbyqxmd.com/read/27687057/relationship-of-modic-changes-disk-herniation-morphology-and-axial-location-to-outcomes-in-symptomatic-cervical-disk-herniation-patients-treated-with-high-velocity-low-amplitude-spinal-manipulation-a-prospective-study
#8
Michel Kressig, Cynthia K Peterson, Kyle McChurch, Christof Schmid, Serafin Leemann, Bernard Anklin, B Kim Humphreys
OBJECTIVE: The purpose of this study was to evaluate whether cervical disk herniation (CDH) location, morphology, or Modic changes (MCs) are related to treatment outcomes. METHODS: Magnetic resonance imaging (MRI) and outcome data from 44 patients with CDH treated with spinal manipulative therapy were evaluated. MRI scans were assessed for CDH axial location, morphology, and MCs. Pain (0-10 for neck and arm) and Neck Disability Index (NDI) data were collected at baseline; 2 weeks; 1, 3, and 6 months; and 1 year...
October 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27660595/the-physiological-role-of-tumor-necrosis-factor-in-human-immunity-and-its-potential-implications-in-spinal-manipulative-therapy-a-narrative-literature-review
#9
Liang Zhang, Chao Hua Yao
OBJECTIVE: Although tumor necrosis factor (TNF) is a well-known inflammatory cytokine in the pathological development of various human diseases, its physiological roles are not widely understood nor appreciated. The molecular mechanisms underlying spinal manipulation therapy (SMT) remain elusive. The relationship between TNF and SMT is unclear. Thus, we performed this literature review to better understand TNF physiology and its potential relationship with SMT, and we propose a novel mechanism by which SMT may achieve clinical benefits by using certain beneficial features of TNF...
September 2016: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/27637456/chiropractic-and-spinal-manipulation-therapy-on-twitter-case-study-examining-the-presence-of-critiques-and-debates
#10
Alessandro R Marcon, Philip Klostermann, Timothy Caulfield
BACKGROUND: Spinal manipulation therapy (SMT) is a popular though controversial practice. The debates surrounding efficacy and risk of SMT are only partially evident in popular discourse. OBJECTIVE: This study aims to investigate the presence of critiques and debates surrounding efficacy and risk of SMT on the social media platform Twitter. The study examines whether there is presence of debate and whether critical information is being widely disseminated. METHODS: An initial corpus of 31,339 tweets was compiled through Twitter's Search Application Programming Interface using the query terms "chiropractic," "chiropractor," and "spinal manipulation therapy...
September 16, 2016: JMIR Public Health and Surveillance
https://www.readbyqxmd.com/read/27559277/medium-term-effects-of-including-manual-therapy-in-a-pulmonary-rehabilitation-program-for-chronic-obstructive-pulmonary-disease-copd-a-randomized-controlled-pilot-trial
#11
Roger Mark Engel, Peter Gonski, Ken Beath, Subramanyam Vemulpad
STUDY DESIGN: Randomized clinical trial. OBJECTIVE: To investigate the effect of including manual therapy (MT) in a pulmonary rehabilitation program for patients with chronic obstructive pulmonary disease (COPD). BACKGROUND: The primary source of exercise limitation in people with COPD is dyspnea. The dyspnea is partly caused by changes in chest wall mechanics, with an increase in chest wall rigidity (CWR) contributing to a decrease in lung function...
May 2016: Journal of Manual & Manipulative Therapy
https://www.readbyqxmd.com/read/27530089/attitudes-and-opinions-of-doctors-of-chiropractic-specializing-in-pediatric-care-toward-patient-safety-a-cross-sectional-survey
#12
Katherine A Pohlman, Linda Carroll, Lisa Hartling, Ross Tsuyuki, Sunita Vohra
OBJECTIVE: The purpose of this cross-sectional survey was to evaluate attitudes and opinions of doctors of chiropractic (DCs) specializing in pediatric care toward patient safety. METHODS: The Medical Office Survey on Patient Safety Culture of the Agency for Healthcare Research and Quality was adapted for providers who use spinal manipulation therapy and sent out to 2 US chiropractic organizations' pediatric council members (n = 400) between February and April 2014...
September 2016: Journal of Manipulative and Physiological Therapeutics
https://www.readbyqxmd.com/read/27504049/mechanical-low-back-pain-secular-trend-and-intervention-topics-of-randomized-controlled-trials
#13
Greta Castellini, Silvia Gianola, Giuseppe Banfi, Stefanos Bonovas, Lorenzo Moja
PURPOSE: To evaluate the number of published randomized controlled trials (RCTs) focusing on mechanical low back pain (MLBP) rehabilitation, the secular (i.e., long-term) trend, and the distribution of interventions studied. METHODS: All included RCTs were extracted from all Cochrane systematic reviews focusing on rehabilitation therapies for MLBP, and two independent reviewers screened and analyzed the information on interventions. RESULTS: After removal of duplicates, the data set consisted of 196 RCTs published between 1961 and 2010...
2016: Physiotherapy Canada. Physiothérapie Canada
https://www.readbyqxmd.com/read/27403282/erratum-to-spinal-manipulative-therapy-graston-technique%C3%A2-and-placebo-for-non-specific-thoracic-spine-pain-a-randomised-controlled-trial
#14
Amy L Crothers, Simon D French, Jeff J Hebert, Bruce F Walker
[This corrects the article DOI: 10.1186/s12998-016-0096-9.].
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27385835/the-use-of-spinal-manipulation-to-treat-an-acute-on-field-athletic-injury-a-case-report
#15
Sean A Duquette, Mohsen Kazemi
This case describes the utilization of spinal manipulative therapy for an acute athletic injury during a Taekwondo competition. During the tournament, an athlete had a sudden, non-traumatic, ballistic movement of the cervical spine. This resulted in the patient having a locked cervical spine with limited active motion in all directions. The attending chiropractor assessed the athlete, and deemed manipulation was appropriate. After the manipulation, the athlete's range of motion was returned and was able to finish the match...
June 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27385833/effect-of-two-consecutive-spinal-manipulations-in-a-single-session-on-myofascial-pain-pressure-sensitivity-a-randomized-controlled-trial
#16
Michelle A Laframboise, Howard Vernon, John Srbely
OBJECTIVE: To investigate the summative effect of two consecutive spinal manipulative therapy (SMT) interventions within the same session on the pain pressure sensitivity of neurosegmentally linked myofascial tissues. METHODS: 26 participants were recruited and assessed for the presence of a clinically identifiable myofascial trigger point in the right infraspinatus muscle. Participants were randomly assigned to test or control group. Test group received two consecutive real cervical SMT interventions to C5-C6 segment while controls received one real SMT followed by one validated sham SMT intervention to C5-C6 segment...
June 2016: Journal of the Canadian Chiropractic Association
https://www.readbyqxmd.com/read/27345747/cost-effectiveness-of-spinal-manipulative-therapy-supervised-exercise-and-home-exercise-for-older-adults-with-chronic-neck-pain
#17
Brent Leininger, Christine McDonough, Roni Evans, Tor Tosteson, Anna N A Tosteson, Gert Bronfort
BACKGROUND CONTEXT: Chronic neck pain is a prevalent and disabling condition among older adults. Despite the large burden of neck pain, little is known regarding the cost-effectiveness of commonly used treatments. PURPOSE: This study aimed to estimate the cost-effectiveness of home exercise and advice (HEA), spinal manipulative therapy (SMT) plus HEA, and supervised rehabilitative exercise (SRE) plus HEA. STUDY DESIGN/SETTING: Cost-effectiveness analysis conducted alongside a randomized clinical trial (RCT) was performed...
November 2016: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/27280016/dose-response-of-spinal-manipulation-for-cervicogenic-headache-study-protocol-for-a-randomized-controlled-trial
#18
Linda Hanson, Mitchell Haas, Gert Bronfort, Darcy Vavrek, Craig Schulz, Brent Leininger, Roni Evans, Leslie Takaki, Moni Neradilek
BACKGROUND: Cervicogenic headache is a prevalent and costly pain condition commonly treated by chiropractors. There is evidence to support the effectiveness for spinal manipulation, but the dose of treatment required to achieve maximal relief remains unknown. The purpose of this paper is to describe the methodology for a randomized controlled trial evaluating the dose-response of spinal manipulation for chronic cervicogenic headache in an adult population. METHODS/DESIGN: This is a mixed-methods, two-site, prospective, parallel groups, observer-blind, randomized controlled trial conducted at university-affiliated research clinics in the Portland, OR and Minneapolis, MN areas...
2016: Chiropractic & Manual Therapies
https://www.readbyqxmd.com/read/27270638/patient-induced-reaction-forces-and-moments-are-influenced-by-variations-in-spinal-manipulative-technique
#19
Kevin D'Angelo, John J Triano, Gregory N Kawchuk, Samuel J Howarth
STUDY DESIGN: An in vivo biomechanical study OBJECTIVE.: . The aim of the present study was to quantify and compare the reaction loads for two spinal manipulation therapy (SMT) procedures commonly used for low back pain using a biomechanical computer model. SUMMARY OF BACKGROUND DATA: Contemporary computer-driven rigid linked-segment models (LSMs) have made it feasible to analyze low back kinetics and kinematics during various activities including spinal manipulation therapy (SMT) procedures...
June 6, 2016: Spine
https://www.readbyqxmd.com/read/27251398/exploring-approaches-to-patient-safety-the-case-of-spinal-manipulation-therapy
#20
Linda Rozmovits, Silvano Mior, Heather Boon
BACKGROUND: The purpose of this study was to gain insight into the current safety culture around the use of spinal manipulation therapy (SMT) by regulated health professionals in Canada and to explore perceptions of readiness for implementing formal mechanisms for tracking associated adverse events. METHODS: Fifty-six semi-structured telephone interviews were conducted with professional leaders and frontline practitioners in chiropractic, physiotherapy, naturopathy and medicine, all professions regulated to perform SMT in the provinces of Alberta and Ontario Canada...
2016: BMC Complementary and Alternative Medicine
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